Clinical Practice Guidelines

Meridian encourages the use of evidence-based Clinical Practice Guidelines (CPGs) by our providers. Our Quality Improvement Committee approves and adopts CPGs for prevention, diagnosis and management of medical and behavioral health conditions. These guidelines are developed by the nationally-recognized Michigan Quality Improvement Consortium (MQIC), and correspond with well-accepted standards of care and clinical treatments for specific conditions. MQIC guidelines are reviewed and updated every two years, or sooner if necessary. Once approved by MQIC Medical Directors, the CPGs are sent to the National Guideline Clearinghouse (NGC) for inclusion on the US Department of Health and Human Services Agency for Healthcare Research and Quality. NGC prepares structured abstracts for consistency of guidelines on their website.

Meridian promotes implementation of these CPGs via dissemination among practitioners and uses numerous performance measures to provide feedback to achieve consistent and high quality health outcomes for our members. 

The MQIC CPGs are reviewed every two years and updated as necessary by the MeridianHealth Physician Advisory Committee (PAC), and approved by the Quality Improvement Committee and Board of Directors. Get more information about MQIC (PDF). 

These Clinical Practice Guidelines are the clinical basis for each of our Disease Management and Behavioral Health programs. Please click below to view the guidelines in electronic format. They are also available in hard copy upon request by contacting the Quality Department at 866-606-3700. 

Medical

• A Guide to Interacting with People with Disabilities (PDF)
• Acute Pharyngitis in Children (PDF)
• Adolescent Health Risk Behavior Assessment (PDF)
• Adult Preventive Services (Ages 18-49) (PDF)
• Adult Preventive Services (Ages ≥ 50) (PDF)
• Adults with Heart Failure with Reduced Ejection Fraction (PDF)
• Advance Care Planning (PDF)
• Alcohol Misuse: Screening and Behavioral Counseling Interventions in Primary Care
• Assessment and Management of Chronic Pain (PDF)
• Asthma, Diagnosis and Management (PDF)
• Clinical Practice Guideline for the Management of Chronic Obstructive Pulmonary Disease (PDF)
• Community Reintegration Program (PDF)
• Dental Shared Decision Making Tool (PDF)
• Diabetes Mellitus (PDF)
• Diagnosis and Management of Adults with Chronic Kidney Disease (PDF)
• Diagnosis and Management of Adults with Depression (PDF)
• Diagnosis of Attention-Deficit/Hyperactivity Disorder (ADHD) for Children and Adolescents (PDF)
• Dietary Fluoride Supplements (PDF)
• Hypertension, Medical Management of Adults (PDF)
• In-Office Use of Sedation (PDF)
• Lipid Screening and Management (PDF)
• Management and Prevention of Osteoporosis (PDF)
• Management of Acute Low Back Pain (PDF)
• Management of Adults with Osteoarthritis (PDF)
• Management of Overweight and Obesity in the Adult (PDF)
• Management of Sickle Cell Disease (PDF)
• Management of Uncomplicated Acute Bronchitis in Adults (PDF)
• Managing Medicines for Adults Receiving Social Care in the Community
• Non-fluoride Caries Preventive Agents (PDF)
• Oral Hygiene Care for Functionally Dependent and Cognitively Impaired Older Adults (PDF)
• Outpatient Management of Uncomplicated DVTs (PDF)
• Prevention and Identification of Childhood Overweight and Obesity (PDF)
• Prevention of Pregnancy in Adolescents Ages 12-17 years (PDF)
• Prevention of Unintended Pregnancy in Adults 18 years and older (PDF)
• Professionally Applied Topical Fluoride (PDF)
• Quality Palliative Care (PDF)
• Routine Prenatal and Postpartum Care (PDF)
• Reconstituted Infant Formula and Enamel Fluorosis (PDF)
• Routine Preventive Services for Infants and Children (Birth - 24 Months) - EPSDT (PDF)
• Routine Preventive Services for Children and Adolescents (Ages 2-21) - EPSDT (PDF)
• Screening for Oral Squamous Cell Carcinomas (PDF)
• Screening, Diagnosis and Referral for Substance Use Disorders (PDF)
• Transitions of Care in Long-Term Care Continuum (PDF)
• Treatment of Attention-Deficit/Hyperactivity Disorder (ADHD) for Children and Adolescents (PDF)
• Treatment of Childhood Overweight and Obesity (PDF)
• Tobacco Control (PDF)
• Use of Pit and Fissure Sealants (PDF)

Behavioral Health Guidelines

• ADHD: Clinical Practice Guidelines for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents
• Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance
• Antisocial Behavior and Conduct Disorders in Children and Young People: Recognition and Management
• Assessment and Treatment of Patients with Suicidal Behaviors (PDF)
• Bipolar Disorder: Assessment and Management
• Borderline Personality Disorder, Recognition and Management (PDF)
• CDC Guideline for Prescribing Opioids for Chronic Pain - United States (PDF)
• Challenging Behavior and Learning Disabilities: Prevention and Interventions for People with Learning Disabilities Whose Behavior Challenges
• Clinical Practice Guideline for the Management of Borderline Personality Disorder: National Health and Medical Research Council
• Clinical Practice Guideline for the Management of Substance Use Disorder (PDF)
• Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-Wake Disorders, Advanced Sleep-Wake Phase Disorder (PDF)
• Core Elements for Responding to Mental Health Crises (PDF)
• Delirium: Prevention, Diagnosis and Management
• Depression in Adults: Recognition and Management 
• Depression in Adults: Screening
• Depression in Adults, Treatment and Management (PDF)
• Eating Disorders: Recognition and Treatment 
• Generalised Anxiety Disorder and Panic Disorder in Adults: Management 
• Guidance on the Use of Electroconvulsive Therapy (PDF)
• Guideline Watch: Practice Guideline for the Treatment of Patients with Acute Stress Disorder and Posttraumatic Stress Disorder (PDF)
• Guideline Watch: Practice Guideline for the Treatment of Patients with Alzheimer's Disease and Other Dementias (PDF)
• Guideline Watch: Practice Guidelines for the Treatment of Patients with Bipolar Disorder, 2nd Edition (PDF)
• Guideline Watch: Practice Guideline for the Treatment of Patients with Delirium (PDF)
• Guideline Watch: Practice Guideline for the Treatment of Patients with Eating Disorders, 3rd Edition (PDF)
• Guideline Watch: Practice Guidelines for the Treatment of Patients with Obsessive-Compulsive Disorder (PDF)
• Guidelines on the Diagnosis and Management of Disorders Associated with Dementia
• Management of Children with Autism Spectrum Disorders
• Mental Health Problems in People with Learning Disabilities: Prevention, Assessment and Management
• National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use (PDF)
• Parkinson's Disease in Adults
• Post-Traumatic Stress Disorder: Management
• Practice Guidelines for Telemental Health with Children and Adolescents (PDF)
• Practice Guideline for the Pharmacological Treatment of Patients with Alcohol Use Disorder
• Practice Guidelines for the Treatment of Patients with Acute Stress Disorder and Posttraumatic Stress Disorder (PDF)
• Practice Guidelines for the Treatment of Patients with Alzheimer's Disease and Other Dementias, 2nd Edition (PDF)
• Practice Guidelines for the Treatment of Patients with Eating Disorders, 3rd Edition (PDF)
• Practice Guidelines for the Treatment of Patients with Major Depressive Disorder (PDF)
• Practice Parameter for Cultural Competence in Child and Adolescent Psychiatric Practice (PDF)
• Practice Parameter for the Assessment and Treatment of Children and Adolescents with Autism Spectrum Disorder (PDF)
• Practice Parameter for the Assessment and Treatment of Children and Adolescents with Eating Disorders (PDF)
• Practice Parameter for the Assessment and Treatment of Children and Adolescents with Obsessive-Compulsive Disorder (PDF)
• Practice Parameter for the Assessment and Treatment of Children and Adolescents with Posttraumatic Stress Disorder (PDF)
• Practice Parameter for the Assessment and Treatment of Children and Adolescents with Reactive Attachment and Disinhibited Social Engagement Disorder (PDF)
• Practice Parameter for the Assessment and Treatment of Children and Adolescents with Schizophrenia (PDF)
• Practice Parameter for the Assessment and Treatment of Children and Adolescents with Tic Disorders (PDF)
• Practice Parameters for the Use of Atypical Antipsychotic Medications in Children and Adolescents (PDF)
• Practice Parameters on the Use of Psychotropic Medication in Children and Adolescents (PDF)
• Psychiatric Evaluation of Adults, 3rd Edition
• Psychosis and Schizophrenia in Adults: Prevention and Management
• Psychosis and Schizophrenia in Children and Young People: Recognition and Management
• Psychosomatic Medicine Practice Guidelines for Psychiatric Consultation (PDF)
• Schizophrenia Guideline Watch (PDF)
• Schizophrenia Practice Guidelines (PDF)
• Self-Harm in over 8s: Long-term management
• Screening, Assessment, and Care of Anxiety and Depressive Symptoms in Adults with Cancer: An American Society of Clinical Oncology Guideline Adaptation
• The Management of Major Depressive Disorder (PDF)
• Treating Pregnant and Parenting Women with Opioid Use Disorder and Their Infants (PDF)
• Treatment of Patients with Delirium (PDF)
• Use of Antipsychotics to Treat Agitation or Psychosis in Patients with Dementia
• Violence and Aggression: Short-Term Management in Mental Health, Health and Community Settings (NICE)

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